Financial performance report 2024/25: Quarter 2

Headline position

This report should be read in conjunction with operational performance updates made to the NHS England Board.

All figures presented have been shown to one decimal place and therefore may not add up precisely to the totals provided and equally percentages may not precisely reflect the absolute figures.

Year to date surplus / (deficit)

Surplus / (Deficit) In year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Systems141,636.4(621.4)(1,317.9)(696.5)(6.4%)
Specialised commissioning21,141.10.03.23.20.0%
Other direct commissioning2,660.10.0(1.5)(1.5)(0.1%)
Central costs 14,864.2(0.0)119.5119.51.7%
Transformation and reserves10,541.2 –
Technical and ringfenced adjustments(4,395.9)(0.0)(0.0)(0.0) –
Total – non-ringfenced RDEL186,447.1(621.4)(1,196.6)(575.2)(0.6%)

Year to date expenditure basis

Expenditure Basis In year allocationPlan £mActual £mUnder/(over) spend £mUnder/(over) spend %
Systems141,636.472,057.472,753.9(696.5)(1.0%)
Specialised commissioning21,141.110,285.610,282.43.20.0%
Other direct commissioning2,660.11,107.21,108.7(1.5)(0.1%)
Central costs 14,864.27,155.27,035.7119.51.7%
Transformation and reserves10,541.2 –
Technical and ringfenced adjustments(4,395.9)(2,197.3)(2,197.3)0.0%
Total – non-ringfenced RDEL186,447.188,408.188,983.3(575.2)(0.7%)
Non ringfenced RDEL surplus / deficit position186,447.1(621.4)(1,196.6)(575.2)(0.6%)

Provider and integrated care board (ICB) financial position – North West region

Year to date surplus / (deficit) position – Cheshire and Merseyside Intergraded Care System (ICS)

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Alder Hey Children’s NHS FT(2.3)(2.3)(0.0)(0.0%)
Bridgewater Community Healthcare NHS FT(0.1)(1.1)(1.0)(2.0%)
Cheshire and Wirral Partnership NHS FT0.10.10.00.0%
Countess of Chester Hospital NHS FT(7.4)(12.6)(5.3)(2.9%)
East Cheshire NHST(5.4)(5.7)(0.3)(0.3%)
Liverpool Heart and Chest Hospital NHS FT6.25.7(0.5)(0.4%)
Liverpool University Hospitals NHS FT(46.0)(52.5)(6.5)(1.0%)
Liverpool Women’s NHS FT(6.9)(5.8)1.11.3%
Mersey Care NHS FT2.82.80.00.0%
Mid Cheshire Hospitals NHS FT(5.0)(7.8)(2.8)(1.3%)
St Helens And Knowsley Teaching Hospitals NHST(13.2)(10.3)2.90.6%
The Clatterbridge Cancer Centre NHS FT0.20.20.00.0%
The Walton Centre NHS FT2.63.00.40.4%
Warrington and Halton Teaching Hospitals NHS FT(10.9)(11.7)(0.8)(0.4%)
Wirral Community Health and Care NHS FT0.10.10.00.0%
Wirral University Teaching Hospital NHS FT(5.8)(12.4)(6.6)(2.7%)
Cheshire and Merseyside ICB31.11.6(29.5)(0.4%)7,452.8
Total  Cheshire and Merseyside ICS (59.7)(108.5)(48.8)(0.7%)7,452.8

Year to date surplus / (deficit) position – Greater Manchester ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverVar % of turnover
Bolton NHS FT(3.5)(3.0)0.50.2%
Greater Manchester Mental Health NHS FT(6.0)(10.5)(4.6)(1.8%)
Manchester University NHS FT(11.2)(30.0)(18.8)(1.3%)
Pennine Care NHS FT0.00.0(0.0)(0.0%)
Northern Care Alliance NHS FT(0.6)(1.4)(0.8)(0.1%)
Stockport NHS FT(0.4)(0.7)(0.3)(0.1%)
Tameside and Glossop Integrated Care NHS FT(0.3)(0.1)0.20.1%
The Christie NHS FT3.54.30.80.3%
Wrightington, Wigan and Leigh NHS FT(0.1)(2.6)(2.5)(0.9%)
Greater Manchester ICB0.0(5.3)(5.3)(0.1%)8,230.7
Total  Greater Manchester ICS (18.5)(49.2)(30.7)(0.4%)8,230.7

Year to date surplus / (deficit) position – Lancashire and South Cumbria ICS

Provider / ICB NamePlan £mActual £mVar £mVar £mAllocation
£m (ICB Only)
Blackpool Teaching Hospitals NHS FT(9.8)(13.0)(3.2)(0.9%)
East Lancashire Hospitals NHST(5.9)(6.8)(0.9)(0.2%)
Lancashire and South Cumbria NHS FT(6.3)(6.8)(0.5)(0.2%)
Lancashire Teaching Hospitals NHS FT(5.4)(11.6)(6.2)(1.5%)
North West Ambulance Service NHST0.02.22.20.9%
University Hospitals of Morecambe Bay NHS FT0.0(6.4)(6.4)(2.2%)
Lancashire and South Cumbria ICB(0.0)0.00.00.0%5,016.6
Total  Lancashire and South Cumbria ICS (27.4)(42.4)(15.0)(0.3%)5,016.6

Provider and ICB financial position – North East region

Year to date surplus / (deficit) position – North East and North Cumbria ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
County Durham and Darlington NHS FT(1.7)(1.5)0.20.1%
Cumbria, Northumberland, Tyne and Wear NHS FT(11.1)(8.5)2.60.9%
Gateshead Health NHS FT(5.7)(5.7)0.00.0%
North Cumbria Integrated Care NHS FT(18.6)(18.7)(0.0)(0.0%)
North East Ambulance Service NHS FT0.00.30.30.3%
North Tees and Hartlepool NHS FT(0.6)(0.9)(0.2)(0.1%)
Northumbria Healthcare NHS FT7.07.70.70.2%
South Tees Hospitals NHS FT(12.7)(12.7)0.00.0%
South Tyneside and Sunderland NHS FT4.42.7(1.7)(0.5%)
Tees, Esk and Wear Valleys NHS FT(2.5)(1.0)1.50.6%
The Newcastle Upon Tyne Hospitals NHS FT(6.4)(6.7)(0.3)(0.0%)
North East and North Cumbria ICB26.827.30.50.0%7,702.8
Total North East and North Cumbria ICS (21.2)(17.6)3.60.0%7,702.8

Year to date surplus / (deficit) position – Humber and North Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Harrogate and District NHS FT(3.1)(3.1)0.00.0%
Hull University Teaching Hospitals NHST(11.1)(11.1)(0.0)(0.0%)
Humber Teaching NHS FT(2.8)(2.8)(0.0)(0.0%)
Northern Lincolnshire and Goole NHS FT(0.3)(0.2)0.00.0%
York and Scarborough Teaching Hospitals NHS FT(1.3)(2.6)(1.3)(0.3%)
Humber and North Yorkshire ICB0.0(0.1)(0.1)(0.0%)3,986.2
Total Humber and North Yorkshire ICS (18.5)(19.9)(1.4)(0.0%)3,986.2

Year to date surplus / (deficit) position – South Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barnsley Hospital NHS FT0.0(0.9)(0.9)(0.6%)
Doncaster and Bassetlaw Teaching Hospitals NHS FT0.0(0.5)(0.5)(0.2%)
Rotherham Doncaster and South Humber NHS FT0.0(0.1)(0.1)(0.1%)
Sheffield Children’s NHS FT0.00.00.00.0%
Sheffield Health and Social Care NHS FT0.0(0.2)(0.2)(0.3%)
Sheffield Teaching Hospitals NHS FT3.7(2.2)(5.8)(0.7%)
The Rotherham NHS FT0.0(2.2)(2.2)(1.2%)
South Yorkshire ICB(22.0)(41.0)(19.1)(0.6%)3,420.1
Total South Yorkshire ICS (18.3)(47.1)(28.8)(0.8%)3,420.1

Year to date surplus / (deficit) position – West Yorkshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Airedale NHS FT(0.5)(4.4)(3.9)(2.7%)
Bradford District Care NHS FT(1.1)(1.3)(0.1)(0.1%)
Bradford Teaching Hospitals NHS FT(12.0)(12.0)(0.0)(0.0%)
Calderdale and Huddersfield NHS FT9.18.8(0.3)(0.1%)
Leeds and York Partnership NHS FT(1.4)(0.9)0.50.4%
Leeds Community Healthcare NHST0.50.4(0.1)(0.1%)
South West Yorkshire Partnership NHS FT0.7(1.0)(1.7)(0.8%)
The Leeds Teaching Hospitals NHST(16.8)(23.5)(6.7)(0.7%)
Mid Yorkshire Teaching NHST(1.7)(4.6)(2.9)(0.7%)
Yorkshire Ambulance Service NHST0.50.5(0.0)(0.0%)
West Yorkshire ICB10.28.2(2.0)(0.0%)5,744.2
Total West Yorkshire ICS (12.4)(29.7)(17.2)(0.3%)5,744.2

Provider and ICB financial position – Midlands region

Year to date surplus / (deficit) position – Birmingham and Solihull ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Birmingham and Solihull Mental Health NHS FT1.2(0.1)(1.3)(0.4%)
Birmingham Community Healthcare NHS FT(0.2)0.10.30.2%
Birmingham Women’s and Children’s NHS FT1.5(2.9)(4.4)(1.2%)
The Royal Orthopaedic Hospital NHS FT(0.1)(2.0)(1.9)(2.8%)
University Hospitals Birmingham NHS FT(23.8)(68.7)(44.9)(3.7%)
Birmingham and Solihull ICB2.83.70.90.0%3,733.0
Total Birmingham and Solihull ICS (18.6)(69.9)(51.3)(1.4%)3,733.0

Year to date surplus / (deficit) position – Coventry and Warwickshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Coventry and Warwickshire Partnership NHST(1.6)(1.5)0.10.1%
George Eliot Hospital NHST(2.2)(3.0)(0.8)(0.7%)
South Warwickshire University NHS FT(2.1)(2.4)(0.4)(0.2%)
University Hospitals Coventry And Warwickshire NHST(3.8)(5.0)(1.2)(0.2%)
Coventry and Warwickshire ICB(0.0)(0.8)(0.8)(0.0%)2,414.6
Total Coventry and Warwickshire ICS(9.6)(12.7)(3.1)(0.1%)2,414.6

Year to date surplus / (deficit) position – Derby and Derbyshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Chesterfield Royal Hospital NHS FT(3.2)(3.1)0.00.0%
Derbyshire Community Health Services NHS FT(1.8)(1.1)0.80.7%
Derbyshire Healthcare NHS FT(4.2)(4.1)0.10.1%
East Midlands Ambulance Service NHST2.82.6(0.2)(0.1%)
University Hospitals of Derby and Burton NHS FT(19.4)(23.1)(3.7)(0.6%)
Derby and Derbyshire ICB6.16.20.10.0%2,731.9
Total Derby and Derbyshire ICS (19.8)(22.6)(2.8)(0.1%)2,731.9

Year to date surplus / (deficit) position – Herefordshire and Worcestershire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Worcestershire Acute Hospitals NHST(3.2)(3.6)(0.4)(0.1%)
Herefordshire and Worcestershire Health and Care NHST0.00.00.00.0%
Wye Valley NHST(1.8)(6.2)(4.4)(2.5%)
Herefordshire and Worcestershire ICB2.41.2(1.2)(0.1%)2,020.0
Total Herefordshire and Worcestershire ICS (2.6)(8.7)(6.1)(0.3%)2,020.0

Year to date surplus / (deficit) position – Leicester, Leicestershire and Rutland ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Leicestershire Partnership NHST(1.2)(1.2)(0.0)(0.0%)
University Hospitals of Leicester NHST(0.0)(15.4)(15.4)(1.8%)
Leicester, Leicestershire and Rutland ICB0.0(16.5)(16.5)(0.6%)2,648.7
Total Leicester, Leicestershire and Rutland ICS (1.2)(33.1)(31.9)(1.2%)2,648.7

Year to date surplus / (deficit) position – Lincolnshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Lincolnshire Community Health Services NHST(0.8)(1.0)(0.2)(0.2%)
Lincolnshire Partnership NHS FT0.20.2(0.0)(0.0%)
United Lincolnshire Hospitals NHST(10.6)(18.1)(7.6)(1.9%)
Lincolnshire ICB(3.5)(2.9)0.60.0%1,974.0
Total Lincolnshire ICS (14.7)(21.9)(7.1)(0.4%)1,974.0

Year to date surplus / (deficit) position – Northamptonshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Kettering General Hospital NHS FT0.0(5.5)(5.5)(2.6%)
Northampton General Hospital NHST0.0(7.4)(7.4)(2.8%)
Northamptonshire Healthcare NHS FT(0.8)(4.2)(3.4)(1.9%)
Northamptonshire ICB0.00.00.00.0%1,893.3
Total Northamptonshire ICS (0.8)(17.1)(16.3)(0.9%)1,893.3

Year to date surplus / (deficit) position – Nottingham and Nottinghamshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Nottingham University Hospitals NHST0.0(1.5)(1.5)(0.2%)
Nottinghamshire Healthcare NHS FT0.0(7.3)(7.3)(2.1%)
Sherwood Forest Hospitals NHS FT0.0(0.8)(0.8)(0.3%)
Nottingham and Nottinghamshire ICB(0.0)(0.0)(0.0)(0.0%)3,042.8
Total Nottingham And Nottinghamshire ICS (0.0)(9.6)(9.6)(0.3%)3,042.8

Year to date surplus / (deficit) position – Shropshire, Telford and Wrekin ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Shropshire Community Health NHST0.60.70.10.2%
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT1.60.1(1.5)(2.0%)
The Shrewsbury And Telford Hospital NHST(0.0)(5.6)(5.6)(1.7%)
Shropshire, Telford and Wrekin ICB(21.0)(20.5)0.50.0%1,367.1
Total Shropshire and Telford and Wrekin ICS (18.8)(25.3)(6.5)(0.5%)1,367.1

Year to date surplus / (deficit) position – Staffordshire and Stoke On Trent ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Midlands Partnership NHS FT2.43.00.60.2%
North Staffordshire Combined Healthcare NHST(0.4)(0.1)0.30.3%
University Hospitals of North Midlands NHST2.5(11.9)(14.4)(2.5%)
Staffordshire and Stoke On Trent ICB0.0(16.2)(16.2)(0.5%)2,982.7
Total Staffordshire And Stoke On Trent ICS 4.6(25.2)(29.8)(1.0%)2,982.7

Year to date surplus / (deficit) position – Black Country ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Black Country Healthcare NHS FT(1.3)(5.4)(4.1)(2.4%)
Dudley Integrated Health and Care NHST0.60.60.00.0%
Sandwell And West Birmingham Hospitals NHST(3.4)(3.5)(0.1)(0.0%)
The Dudley Group NHS FT(4.8)(1.5)3.31.2%
The Royal Wolverhampton NHST(16.6)(16.4)0.20.0%
Walsall Healthcare NHST(7.2)(7.0)0.10.1%
West Midlands Ambulance Service University NHS FT(0.2)(10.1)(10.0)(5.0%)
Black Country ICB3.53.60.10.0%3,314.3
Total The Black Country ICS (29.4)(39.8)(10.4)(0.3%)3,314.3

Provider and ICB financial position – East region

Year to date surplus / (deficit) position – Cambridgeshire and Peterborough ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Cambridge University Hospitals NHS FT(1.0)(2.9)(1.9)(0.3%)
Cambridgeshire and Peterborough NHS FT(5.1)(5.5)(0.4)(0.2%)
Cambridgeshire Community Services NHST0.00.00.00.0%
North West Anglia NHS FT0.0(1.0)(1.0)(0.3%)
Royal Papworth Hospital NHS FT(0.0)1.01.00.6%
Cambridgeshire and Peterborough ICB0.0(4.4)(4.4)(0.2%)2,217.9
Total Cambridgeshire and Peterborough ICS (6.1)(12.8)(6.8)(0.3%)2,217.9

Year to date surplus / (deficit) position – Hertfordshire and West Essex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East And North Hertfordshire NHST(0.6)(1.3)(0.7)(0.2%)
Hertfordshire Community NHST(0.3)(0.7)(0.5)(0.6%)
Hertfordshire Partnership University NHS FT(3.3)(5.3)(2.1)(1.0%)
The Princess Alexandra Hospital NHST(5.6)(6.7)(1.2)(0.6%)
West Hertfordshire Teaching Hospitals NHST(8.1)(9.8)(1.7)(0.6%)
Hertfordshire and West Essex ICB2.0(0.7)(2.7)(0.1%)3,640.1
Total Hertfordshire and West Essex ICS (15.8)(24.6)(8.8)(0.2%)3,640.1

Year to date surplus / (deficit) position – Mid and South Essex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Essex Partnership University NHS FT(0.0)(4.2)(4.2)(1.6%)
Mid and South Essex NHS FT0.0(20.3)(20.3)(2.5%)
Mid and South Essex ICB0.0(4.1)(4.1)(0.1%)2,999.5
Total Mid and South Essex ICS (0.0)(28.6)(28.6)(1.0%)2,999.5

Year to date surplus / (deficit) position – Bedfordshire, Luton and Milton Keynes ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Bedfordshire Hospitals NHS FT(3.0)(16.7)(13.7)(3.3%)
Milton Keynes University Hospital NHS FT(4.1)(4.6)(0.6)(0.3%)
Bedfordshire, Luton and Milton Keynes ICB0.0(3.9)(3.9)(0.2%)2,318.7
Total Bedfordshire, Luton And Milton Keynes ICS (7.1)(25.3)(18.2)(0.8%)2,318.7

Year to Date Surplus / (Defecit) Position – Norfolk and Waveney ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
James Paget University Hospitals NHS FT2.60.1(2.5)(1.5%)
Norfolk and Norwich University Hospitals NHS FT(3.5)(13.1)(9.5)(2.0%)
Norfolk and Suffolk NHS FT0.6(0.9)(1.5)(0.8%)
Norfolk Community Health and Care NHST(0.0)(0.0)0.00.0%
Queen Elizabeth Hospital King’s Lynn NHS FT(6.1)(18.9)(12.8)(8.5%)
Norfolk and Waveney ICB0.20.2(0.0)(0.0%)2,701.4
Total Norfolk And Waveney ICS (6.4)(32.6)(26.2)(1.0%)2,701.4

Year to date surplus / (deficit) position – Suffolk and North East Essex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East of England Ambulance Service NHST1.72.20.40.2%
East Suffolk and North Essex NHS FT0.30.0(0.2)(0.0%)
West Suffolk NHS FT(9.8)(15.9)(6.0)(3.1%)
Suffolk and North East Essex ICB4.04.00.00.0%2,503.4
Total Suffolk And North East Essex ICS (3.8)(9.7)(5.8)(0.2%)2,503.4

Provider and ICB financial position – London region

Year to date surplus / (deficit) position – North Central London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barnet, Enfield And Haringey Mental Health NHST0.0(0.5)(0.5)(0.2%)
Camden and Islington NHS FT0.0(0.3)(0.3)(0.2%)
Great Ormond Street Hospital for Children NHS FT(3.4)(5.3)(1.9)(0.6%)
Moorfields Eye Hospital NHS FT1.82.30.40.3%
North Middlesex University Hospital NHST(2.1)(12.0)(9.9)(3.9%)
Royal Free London NHS FT(21.8)(18.2)3.60.5%
Royal National Orthopaedic Hospital NHST(4.0)(4.1)(0.1)(0.1%)
Tavistock and Portman NHS FT(1.2)(1.1)0.00.1%
University College London Hospitals NHS FT(1.6)8.09.61.1%
Whittington Health NHST(10.0)(15.4)(5.4)(2.4%)
North Central London ICB6.96.9(0.0)(0.0%)3,686.0
Total North Central London ICS (35.4)(39.8)(4.4)(0.1%)3,686.0

Year to date surplus / (deficit) position – North East London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Barking, Havering and Redbridge University Hospitals NHST(5.1)(15.3)(10.2)(2.2%)
Barts Health NHST(0.0)(9.9)(9.9)(0.8%)
East London NHS FT(3.1)(14.1)(11.0)(3.2%)
Homerton Healthcare NHS FT(4.3)(10.9)(6.6)(2.9%)
North East London NHS FT(2.8)(15.4)(12.6)(4.2%)
North East London ICB(3.5)(7.8)(4.4)(0.1%)4,830.0
Total North East London ICS (18.7)(73.5)(54.7)(1.1%)4,830.0

Year to date surplus / (deficit) position – North West London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Central and North West London NHS FT(3.5)(4.0)(0.5)(0.1%)
Central London Community Healthcare NHST0.00.00.00.0%
Chelsea and Westminster Hospital NHS FT(0.7)(1.7)(1.0)(0.2%)
Imperial College Healthcare NHST(1.9)(25.4)(23.5)(2.8%)
London Ambulance Service NHST1.6(0.2)(1.8)(0.5%)
London North West University Healthcare NHST(2.2)(24.2)(21.9)(4.3%)
The Hillingdon Hospitals NHS FT(2.7)(19.7)(17.0)(9.3%)
West London NHST0.00.00.00.0%
North West London ICB0.0(5.2)(5.2)(0.1%)5,329.6
Total North West London ICS (9.5)(80.4)(70.9)(1.3%)5,329.6

Year to date surplus / (deficit) position – South East London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Guy’s and St Thomas’ NHS FT(6.0)(44.2)(38.2)(2.7%)
King’s College Hospital NHS FT(74.4)(71.7)2.60.3%
Lewisham and Greenwich NHST(0.1)(9.0)(8.9)(2.2%)
Oxleas NHS FT0.50.50.00.0%
South London and Maudsley NHS FT(3.0)(10.0)(6.9)(2.3%)
South East London ICB2.41.7(0.7)(0.0%)4,622.1
Total South East London ICS (80.6)(132.7)(52.1)(1.1%)4,622.1

Year to date surplus / (deficit) position – South West London ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Croydon Health Services NHST(1.2)(1.2)0.00.0%
Epsom and St Helier University Hospitals NHST(7.2)(9.4)(2.2)(0.6%)
Hounslow and Richmond Community Healthcare NHST(1.2)(1.1)0.00.0%
Kingston Hospital NHS FT(8.2)(8.5)(0.3)(0.1%)
South West London and St George’s Mental Health NHST(0.5)(0.5)0.00.0%
St George’s University Hospitals NHS FT(8.7)(12.4)(3.7)(0.6%)
The Royal Marsden NHS FT(1.7)(3.2)(1.5)(0.5%)
South West London ICB1.01.00.00.0%3,539.6
Total South West London ICS (27.7)(35.4)(7.7)(0.2%)3,539.6

Provider and ICB financial position – South West region

Year to date surplus / (deficit) position – Bath and North East Somerset, Swindon and Wiltshire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Great Western Hospitals NHS FT0.0(2.9)(2.9)(1.1%)
Royal United Hospitals Bath NHS FT(0.0)(1.9)(1.9)(0.7%)
Salisbury NHS FT0.0(6.8)(6.8)(3.7%)
Bath and North East Somerset, Swindon and Wiltshire ICB0.00.00.00.0%2,035.4
Total Bath And North East Somerset, Swindon And Wiltshire ICS (0.0)(11.6)(11.6)(0.6%)2,035.4

Year to date surplus / (deficit) position – Bristol, North Somerset and South Gloucestershire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Avon and Wiltshire Mental Health Partnership NHST0.00.00.00.0%
North Bristol NHST(2.5)(6.3)(3.8)(0.8%)
University Hospitals Bristol and Weston NHS FT0.0(6.6)(6.6)(1.1%)
Bristol, North Somerset and South Gloucestershire ICB0.00.00.00.0%2,217.4
Total Bristol, North Somerset, South Gloucestershire ICS (2.5)(12.9)(10.4)(0.5%)2,217.4

Year to date surplus / (deficit) position – Cornwall and The Isles Of Scilly ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Cornwall Partnership NHS FT0.20.20.00.0%
Royal Cornwall Hospitals NHST(0.8)(3.8)(3.0)(0.9%)
Cornwall and The Isles Of Scilly ICB0.0(0.0)(0.0)(0.0%)1,434.5
Total Cornwall And The Isles Of Scilly ICS (0.6)(3.6)(3.0)(0.2%)1,434.5

Year to date surplus / (deficit) position – Devon ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Devon Partnership NHST2.02.00.00.0%
Royal Devon University Healthcare NHS FT(11.1)(11.1)0.00.0%
Torbay and South Devon NHS FT(9.6)(9.6)0.00.0%
University Hospitals Plymouth NHST(10.7)(11.4)(0.7)(0.1%)
Devon ICB14.214.20.00.0%2,977.1
Total Devon ICS (15.2)(15.9)(0.7)(0.0%)2,977.1

Year to date surplus / (deficit) position – Dorset ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Dorset County Hospital NHS FT(6.3)(7.2)(0.9)(0.6%)
Dorset Healthcare University NHS FT(1.7)(1.7)(0.0)(0.0%)
South Western Ambulance Service NHS FT0.0(3.7)(3.7)(1.9%)
University Hospitals Dorset NHS FT(8.2)(8.7)(0.5)(0.1%)
Dorset ICB(0.6)(6.7)(6.0)(0.3%)1,879.0
Total Dorset ICS (16.8)(27.9)(11.2)(0.6%)1,879.0

Year to date surplus / (deficit) position – Gloucestershire ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Gloucestershire Health and Care NHS FT0.20.30.00.0%
Gloucestershire Hospitals NHS FT(10.5)(8.9)1.60.4%
Gloucestershire ICB0.00.00.00.0%1,380.7
Total Gloucestershire ICS (10.3)(8.7)1.60.1%1,380.7

Year to date surplus / (deficit) position – Somerset ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Somerset NHS FT(12.6)(12.6)0.00.0%
Somerset ICB(0.0)0.00.00.0%1,374.8
Total Somerset ICS (12.6)(12.6)0.00.0%1,374.8

Provider and ICB financial position – South East region

Year to date surplus / (deficit) position – Buckinghamshire, Oxfordshire and Berkshire West ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Berkshire Healthcare NHS FT1.41.40.00.0%
Buckinghamshire Healthcare NHST(6.0)(6.7)(0.8)(0.2%)
Oxford Health NHS FT(1.0)(0.8)0.20.1%
Oxford University Hospitals NHS FT(17.1)(25.8)(8.7)(1.1%)
Royal Berkshire NHS FT(0.3)(6.5)(6.1)(1.9%)
Buckinghamshire, Oxfordshire and Berkshire West ICB(0.2)(2.3)(2.1)(0.1%)3,665.9
Total Buckinghamshire, Oxfordshire and Berkshire West ICS (23.2)(40.6)(17.4)(0.5%)3,665.9

Year to date surplus / (deficit) position – Frimley ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Frimley Health NHS FT4.02.6(1.4)(0.3%)
Frimley ICB0.0(0.0)(0.0)(0.0%)1,585.3
Total Frimley ICS 4.02.6(1.4)(0.1%)1,585.3

Year to date surplus / (deficit) position – Hampshire and Isle of Wight ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Hampshire Hospitals NHS FT(4.2)(9.5)(5.2)(1.6%)
Isle of Wight NHST(4.0)(3.5)0.50.3%
Portsmouth Hospitals University NHST(7.8)(1.9)5.91.3%
Solent NHST0.1(2.0)(2.1)(1.5%)
South Central Ambulance Service NHS FT(3.4)(3.4)0.00.0%
Southern Health NHS FT2.92.90.10.0%
University Hospital Southampton NHS FT(3.3)(8.0)(4.7)(0.7%)
Hampshire and Isle of Wight ICB4.55.00.50.0%4,163.1
Total Hampshire and the Isle of Wight ICS (15.3)(20.4)(5.1)(0.1%)4,163.1

Year to date surplus / (deficit) position – Kent and Medway ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Dartford and Gravesham NHST(0.9)(0.9)0.00.0%
East Kent Hospitals University NHS FT(3.9)(3.8)0.00.0%
Kent and Medway NHS and Social Care Partnership Trust0.20.2(0.0)(0.0%)
Kent Community Health NHS FT0.04.04.02.6%
Maidstone and Tunbridge Wells NHST(8.5)(13.7)(5.2)(1.4%)
Medway NHS FT(1.3)(3.2)(1.9)(0.8%)
Kent and Medway ICB5.3(9.0)(14.2)(0.3%)4,362.5
Total Kent and Medway ICS (9.1)(26.5)(17.3)(0.4%)4,362.5

Year to date surplus / (deficit) position – Surrey Heartlands ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
Ashford and St Peter’s Hospitals NHS FT(3.7)(9.4)(5.7)(2.5%)
Royal Surrey NHS FT0.2(2.2)(2.4)(0.8%)
South East Coast Ambulance Service NHS FT0.50.50.00.0%
Surrey and Borders Partnership NHS FT2.00.5(1.5)(0.8%)
Surrey and Sussex Healthcare NHST(12.0)(11.8)0.30.1%
Surrey Heartlands ICB0.03.13.10.1%2,351.7
Total Surrey Heartlands ICS (13.0)(19.2)(6.2)(0.3%)2,351.7

Year to date surplus / (deficit) position – Sussex ICS

Provider / ICB NamePlan £mActual £mVar £mVar % of turnoverAllocation
£m (ICB Only)
East Sussex Healthcare NHST(2.0)(7.8)(5.7)(1.7%)
Sussex Community NHS FT(2.4)(1.9)0.50.3%
Sussex Partnership NHS FT5.8(0.0)(5.8)(2.2%)
Queen Victoria Hospital NHS FT0.00.00.00.0%
University Hospitals Sussex NHS FT(10.0)(15.4)(5.4)(0.7%)
Sussex ICB0.00.10.10.0%4,145.1
Total Sussex ICS (8.6)(25.0)(16.4)(0.4%)4,145.1

Provider employee expenses summary

StaffYTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
Medical staff10,240.910,756.5(515.6)(5.0%)
Nursing staff11,786.811,836.1(49.3)(0.4%)
Support to clinical staff 6,004.16,182.2(178.1)(3.0%)
Other staff13,459.513,567.4(107.8)(0.8%)
Total employee expenses41,491.442,342.2(850.8)(2.1%)
Of which:    
 – Bank2,791.73,277.5(485.8)(17.4%)
– Agency1,157.61,150.76.90.6%
Total Bank and Agency3,949.34,428.2(478.9)(12.1%)

Provider non-pay costs summary

Non payYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Purchase of healthcare from other providers2,618.52,749.3(130.7)(5.0%)
Purchase of social care127.5135.4(7.9)(6.2%)
Drugs costs5,461.55,817.8(356.4)(6.5%)
Clinical supplies and services – (excluding drugs costs)4,717.55,218.1(500.6)(10.6%)
General supplies and services1,005.81,088.2(82.4)(8.2%)
Clinical negligence insurance1,459.11,429.629.42.0%
Consultancy78.776.62.12.7%
Establishment622.7616.46.21.0%
Premises2,624.02,614.29.80.4%
Other non pay items5,753.35,538.6214.73.7%
Total non pay24,468.625,284.3(815.7)(3.3%)

Specialised commissioning (net expenditure)

RegionYTD Plan £mYTD Actual £mYTD Var to Plan £mYTD Var to Plan %
North West776.0776.00.00.0%
North East and Yorkshire1,636.91,636.90.10.0%
Midlands977.8977.80.00.0%
East of England522.6522.60.00.0%
London2,691.52,691.50.00.0%
South West1,036.61,036.6(0.0)(0.0%)
South East1,631.71,630.61.10.1%
Central1,012.41,010.42.00.2%
Total10,285.610,282.43.20.0%

Primary care and secondary dental (net expenditure)

Region YTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
North West2.92.70.27.2%
North East and Yorkshire3.63.6(0.0)(0.0%)
Midlands4.56.1(1.6)(36.2%)
East of England3.13.7(0.6)(19.5%)
London7.97.9(0.0)(0.0%)
South West3.83.80.00.0%
South East4.34.5(0.2)(4.5%)
Central0.00.00.00.0%
Total30.032.2(2.2)(7.3%)

Provider and commissioner capital position

Provider

Capital (CDEL) – By SectorYTD Plan £m YTD Actual £m YTD Var to Plan £mYTD Var to Plan %
Acute1,114.4887.5226.920.4%
Ambulance62.336.226.141.8%
Community45.732.613.028.6%
Mental Health192.4184.08.44.4%
Specialist61.855.06.811.1%
Provider operational capital excluding IFRS161,476.61,195.3281.319.0%
Impact of IFRS16500.1180.4319.763.9%
National allocations plus other items charged to CDEL1,087.3749.1338.1(52.3%)
Total Provider Capital Plan Including IFRS163,063.92,124.8939.130.6%
Capital DELYTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
Gross capital expenditure3,305.12,286.81,018.330.8%
Disposals / other deductions(43.8)(36.9)(6.9)15.8%
Net Capital expenditure3,261.32,249.91,011.431.0%
Less grants, donations and peppercorn leases(180.9)(136.1)(44.8)24.8%
Less PFI capital (IFRIC12)(89.8)(85.1)(4.7)5.2%
Plus PFI capital charges on a UK GAAP basis (e.g. residual interest)93.094.5(1.5)(1.7%)
Purchase of financial assets0.61.6(1.0)(160.7%)
Sale of financial assets(21.5)(0.7)(20.8)96.7%
Utilisation of capitalised dilapidation provisions1.20.80.433.5%
Loss on disposal from peppercorn leases0.0%
Prior Period Adjustments (PPAs)0.0(0.0)0.00.0%
Total CDEL3,063.92,124.8939.130.6%

Commissioner

Capital (CDEL) – By RegionYTD Plan £m YTD Actual £mYTD Var to Plan £mYTD Var to Plan %
London0.30.20.129.7%
Midlands 0.00.00.00.0%
East of England2.14.8(2.7)(128.2%)
North West0.0(0.5)0.50.0%
North East and Yorkshire0.10.2(0.1)(68.6%)
South East0.99.8(8.9)(1002.4%)
South West0.60.40.229.0%
Central180.9105.575.441.7%
Total Commissioner CDEL185.0120.564.534.8%